Optimal elevation of ?-cell 11?-hydroxysteroid dehydrogenase type 1 is a compensatory mechanism that prevents high-fat diet-induced ?-cell failure.
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ABSTRACT: Type 2 diabetes ultimately results from pancreatic ?-cell failure. Abnormally elevated intracellular regeneration of glucocorticoids by the enzyme 11?-hydroxysteroid dehydrogenase type 1 (11?-HSD1) in fat or liver may underlie pathophysiological aspects of the metabolic syndrome. Elevated 11?-HSD1 is also found in pancreatic islets of obese/diabetic rodents and is hypothesized to suppress insulin secretion and promote diabetes. To define the direct impact of elevated pancreatic ?-cell 11?-HSD1 on insulin secretion, we generated ?-cell-specific, 11?-HSD1-overexpressing (MIP-HSD1) mice on a strain background prone to ?-cell failure. Unexpectedly, MIP-HSD1(tg/+) mice exhibited a reversal of high fat-induced ?-cell failure through augmentation of the number and intrinsic function of small islets in association with induction of heat shock, protein kinase A, and extracellular signal-related kinase and p21 signaling pathways. 11?-HSD1(-/-) mice showed mild ?-cell impairment that was offset by improved glucose tolerance. The benefit of higher ?-cell 11?-HSD1 exhibited a threshold because homozygous MIP-HSD1(tg/tg) mice and diabetic Lep(db/db) mice with markedly elevated ?-cell 11?-HSD1 levels had impaired basal ?-cell function. Optimal elevation of ?-cell 11?-HSD1 represents a novel biological mechanism supporting compensatory insulin hypersecretion rather than exacerbating metabolic disease. These findings have immediate significance for current therapeutic strategies for type 2 diabetes.
SUBMITTER: Turban S
PROVIDER: S-EPMC3282808 | biostudies-literature | 2012 Mar
REPOSITORIES: biostudies-literature
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